Hospital for Special Surgery ICD - Volume, LOS, Readmissions & Other Quality Outcomes

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ICD Code	ICD Description	Total Hospitalizations (Oct 2016 to Sep 2019)	Total Hospitalizations After Exclusion	Avg. LOS	30 Day Readmission Rate (%)	Unplanned Readmission Rate (%)	Total Medicare Payments	Payment per Day	Payment per Hospitalization	Total Medicare Charges	Avg. Charges	In Hospital Mortality Rate (%)	Discharge to Home Rate (%)	SNF Discharge Rate (%)
M1711 (Primary)	Unilateral primary osteoarthritis, right knee
M1712 (Primary)	Unilateral primary osteoarthritis, left knee
M1611 (Primary)	Unilateral primary osteoarthritis, right hip
M1612 (Primary)	Unilateral primary osteoarthritis, left hip
M48062 (Primary)	Spinal stenosis, lumbar region with neurogenic claudication
M170 (Primary)	Bilateral primary osteoarthritis of knee
M4806 (Primary)	Spinal stenosis, lumbar region
M19011 (Primary)	Primary osteoarthritis, right shoulder
M4802 (Primary)	Spinal stenosis, cervical region
M4316 (Primary)	Spondylolisthesis, lumbar region
M19012 (Primary)	Primary osteoarthritis, left shoulder
M48061 (Primary)	Spinal stenosis, lumbar region without neurogenic claudication
M4186 (Primary)	Other forms of scoliosis, lumbar region
T84020A (Primary)	Dislocation of internal right hip prosthesis, initial encounter
T84032A (Primary)	Mechanical loosening of internal right knee prosthetic joint, initial encounter
M160 (Primary)	Bilateral primary osteoarthritis of hip
T84033A (Primary)	Mechanical loosening of internal left knee prosthetic joint, initial encounter
M5116 (Primary)	Intervertebral disc disorders with radiculopathy, lumbar region
T84021A (Primary)	Dislocation of internal left hip prosthesis, initial encounter
T8454XA (Primary)	Infection and inflammatory reaction due to internal left knee prosthesis, initial encounter
T8453XA (Primary)	Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter
M4712 (Primary)	Other spondylosis with myelopathy, cervical region
M960 (Primary)	Pseudarthrosis after fusion or arthrodesis
T84030A (Primary)	Mechanical loosening of internal right hip prosthetic joint, initial encounter
M19072 (Primary)	Primary osteoarthritis, left ankle and foot
M19071 (Primary)	Primary osteoarthritis, right ankle and foot
T84022A (Primary)	Instability of internal right knee prosthesis, initial encounter
T8484XA (Primary)	Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter
T8451XA (Primary)	Infection and inflammatory reaction due to internal right hip prosthesis, initial encounter
M12811 (Primary)	Other specific arthropathies, not elsewhere classified, right shoulder
T84031A (Primary)	Mechanical loosening of internal left hip prosthetic joint, initial encounter
T814XXA (Primary)	Infection following a procedure, initial encounter
T8452XA (Primary)	Infection and inflammatory reaction due to internal left hip prosthesis, initial encounter
T84023A (Primary)	Instability of internal left knee prosthesis, initial encounter
M12812 (Primary)	Other specific arthropathies, not elsewhere classified, left shoulder
M4317 (Primary)	Spondylolisthesis, lumbosacral region
M75101 (Primary)	Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic
Z4733 (Primary)	Aftercare following explantation of knee joint prosthesis
M1632 (Primary)	Unilateral osteoarthritis resulting from hip dysplasia, left hip
M4807 (Primary)	Spinal stenosis, lumbosacral region
M4722 (Primary)	Other spondylosis with radiculopathy, cervical region
M1631 (Primary)	Unilateral osteoarthritis resulting from hip dysplasia, right hip
M1651 (Primary)	Unilateral post-traumatic osteoarthritis, right hip
M167 (Primary)	Other unilateral secondary osteoarthritis of hip
T8489XA (Primary)	Other specified complication of internal orthopedic prosthetic devices, implants and grafts, initial encounter
M1652 (Primary)	Unilateral post-traumatic osteoarthritis, left hip
M5117 (Primary)	Intervertebral disc disorders with radiculopathy, lumbosacral region
M4036 (Primary)	Flatback syndrome, lumbar region
M75121 (Primary)	Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic
M1731 (Primary)	Unilateral post-traumatic osteoarthritis, right knee
T8459XA (Primary)	Infection and inflammatory reaction due to other internal joint prosthesis, initial encounter
M1732 (Primary)	Unilateral post-traumatic osteoarthritis, left knee
T84038A (Primary)	Mechanical loosening of other internal prosthetic joint, initial encounter
T84050A (Primary)	Periprosthetic osteolysis of internal prosthetic right hip joint, initial encounter
M175 (Primary)	Other unilateral secondary osteoarthritis of knee
T8482XA (Primary)	Fibrosis due to internal orthopedic prosthetic devices, implants and grafts, initial encounter
M4035 (Primary)	Flatback syndrome, thoracolumbar region
T84060A (Primary)	Wear of articular bearing surface of internal prosthetic right hip joint, initial encounter
T84051A (Primary)	Periprosthetic osteolysis of internal prosthetic left hip joint, initial encounter
Z4732 (Primary)	Aftercare following explantation of hip joint prosthesis
M5136 (Primary)	Other intervertebral disc degeneration, lumbar region
M4726 (Primary)	Other spondylosis with radiculopathy, lumbar region
M5001 (Primary)	Cervical disc disorder with myelopathy, high cervical region
M75122 (Primary)	Complete rotator cuff tear or rupture of left shoulder, not specified as traumatic
M75102 (Primary)	Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic
M4185 (Primary)	Other forms of scoliosis, thoracolumbar region
S72002A (Primary)	Fracture of unspecified part of neck of left femur, initial encounter for closed fracture
T84061A (Primary)	Wear of articular bearing surface of internal prosthetic left hip joint, initial encounter
M4126 (Primary)	Other idiopathic scoliosis, lumbar region
M4804 (Primary)	Spinal stenosis, thoracic region
T84226A (Primary)	Displacement of internal fixation device of vertebrae, initial encounter
M8008XA (Primary)	Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture
M19172 (Primary)	Post-traumatic osteoarthritis, left ankle and foot
M5126 (Primary)	Other intervertebral disc displacement, lumbar region
T84028A (Primary)	Dislocation of other internal joint prosthesis, initial encounter
M40295 (Primary)	Other kyphosis, thoracolumbar region
M4184 (Primary)	Other forms of scoliosis, thoracic region
T84090A (Primary)	Other mechanical complication of internal right hip prosthesis, initial encounter
M19171 (Primary)	Post-traumatic osteoarthritis, right ankle and foot
T84091A (Primary)	Other mechanical complication of internal left hip prosthesis, initial encounter
T84216A (Primary)	Breakdown (mechanical) of internal fixation device of vertebrae, initial encounter
M87851 (Primary)	Other osteonecrosis, right femur
S72001A (Primary)	Fracture of unspecified part of neck of right femur, initial encounter for closed fracture
M96840 (Primary)	Postprocedural hematoma of a musculoskeletal structure following a musculoskeletal system procedure
M9701XA (Primary)	Periprosthetic fracture around internal prosthetic right hip joint, initial encounter
T8142XA (Primary)	Infection following a procedure, deep incisional surgical site, initial encounter
M9702XA (Primary)	Periprosthetic fracture around internal prosthetic left hip joint, initial encounter
L03115 (Primary)	Cellulitis of right lower limb
S82851A (Primary)	Displaced trimalleolar fracture of right lower leg, initial encounter for closed fracture
T8131XA (Primary)	Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter
M5137 (Primary)	Other intervertebral disc degeneration, lumbosacral region
M4156 (Primary)	Other secondary scoliosis, lumbar region
M5416 (Primary)	Radiculopathy, lumbar region
S72142A (Primary)	Displaced intertrochanteric fracture of left femur, initial encounter for closed fracture
S72012A (Primary)	Unspecified intracapsular fracture of left femur, initial encounter for closed fracture
M40294 (Primary)	Other kyphosis, thoracic region
T84093A (Primary)	Other mechanical complication of internal left knee prosthesis, initial encounter
M50121 (Primary)	Cervical disc disorder at C4-C5 level with radiculopathy
M4312 (Primary)	Spondylolisthesis, cervical region
M5011 (Primary)	Cervical disc disorder with radiculopathy, high cervical region
M75111 (Primary)	Incomplete rotator cuff tear or rupture of right shoulder, not specified as traumatic
M2011 (Primary)	Hallux valgus (acquired), right foot
M87852 (Primary)	Other osteonecrosis, left femur
S76111A (Primary)	Strain of right quadriceps muscle, fascia and tendon, initial encounter